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Area of Science:

  • Health Services Research
  • Social Determinants of Health
  • Health Equity

Background:

  • Screening for social risks is vital for evaluating healthcare system performance and setting payment rates.
  • Patient willingness to accept help from healthcare providers is a key factor influencing intervention success.
  • Social risks encompass areas like finances, food security, housing, and transportation.

Purpose of the Study:

  • To identify factors associated with patients' willingness to receive assistance for social risks from healthcare providers.
  • To inform targeted outreach and intervention strategies for health plans and policymakers.

Main Methods:

  • Utilized data from Kaiser Permanente's 2022 Social Needs Survey, a representative sample across eight regional markets.
  • Employed weighted logistic regression modeling to assess the relationship between respondent demographics and desire for assistance with social risks.
  • Analyzed data from 5,905 respondents, considering demographics and the presence/number of social risks.

Main Results:

  • 34.8% of respondents reported at least one social risk, and 31.7% desired assistance.
  • Individuals with multiple social risks (three or more), Black respondents, and those with incomes below $50,000 showed higher odds of wanting assistance.
  • Younger respondents (under 65) were less likely to want assistance.

Conclusions:

  • Less than half of individuals with social risks expressed a desire for healthcare-provided assistance.
  • Patient demographics, particularly race and income, and the number of social risks are significant predictors of willingness to accept help.
  • Findings underscore the need for tailored approaches to social needs interventions in healthcare settings.